| NPI | 1831320720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A117487) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA IMLC.MD.70054342) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX W0421) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2026-08-13 |